Provider Demographics
NPI:1508184078
Name:LOTFI, NEGAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEGAR
Middle Name:
Last Name:LOTFI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07435-1436
Mailing Address - Country:US
Mailing Address - Phone:973-697-8900
Mailing Address - Fax:
Practice Address - Street 1:2950 ROUTE 23
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:NJ
Practice Address - Zip Code:07435-1436
Practice Address - Country:US
Practice Address - Phone:973-697-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-09
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0549561223G0001X
NJ22DI024921001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice